Primary care-based mindfulness intervention for posttraumatic stress disorder and depression symptoms among Black adults: A pilot feasibility and acceptability randomized controlled trial.
Primary care-based mindfulness intervention for posttraumatic stress disorder and depression symptoms among Black adults: A pilot feasibility and acceptability randomized controlled trial.
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针对黑人成人创伤后应激障碍和抑郁症状的初级保健正念干预：一项试点可行性和可接受性随机对照试验。
DOI：
10.1037/tra0001390
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Kaslow,NadineJ
中科院分区：
文献类型：
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作者：
Powers,Abigail;Lathan,EmmaC;Dixon,HDrew;Mekawi,Yara;Hinrichs,Rebecca;Carter,Sierra;Bradley,Bekh;Kaslow,NadineJ
有支持使用正念为基础的方法与创伤暴露的成年人。然而，在城市医疗诊所中，基于群体的正念干预措施的可行性和可接受性的数据有限，这些诊所主要为社会经济资源较低的黑人成年人服务，创伤暴露率很高。本随机试点研究评估的可行性和可接受性的8周适应正念为基础的认知疗法（MBCT）组的创伤暴露的黑人成年人谁筛选阳性的创伤后应激障碍（PTSD）和抑郁症在城市初级保健诊所setting.MethodsParticipants被随机分配到候补控制（WLC）或MBCT。可行性和可接受性进行了评估，通过检查的保留率，组满意度和治疗障碍的措施，和定性访谈。42名黑人成年人（85%的妇女）同意，其中，34（81%）完成预评估和randomization.ResultsFeasibility的研究设计，与>75%（n=26）的随机参与者完成研究后评估。24例患者（70.5%）完成了1个月随访。结果表明，在定量和定性措施的高水平的组的可接受性。感知障碍心理治疗是高的，平均值>6 barriers present.ConclusionsThe研究结果表明MBCT组干预措施的可行性和可接受性，在城市初级保健设置与创伤暴露患者有显着的精神病理学。然而，治疗参与的重大障碍得到了认可，为了增加成功参与干预的人数，需要继续努力减少治疗障碍，增加资源不足社区获得正念干预的机会。
ObjectiveThere is support for the use of mindfulness-based approaches with trauma-exposed adults. However, limited data are available on feasibility and acceptability of group-based mindfulness interventions in urban medical clinics serving primarily Black adults with low socioeconomic resources, where rates of trauma exposure are high. The present randomized pilot study evaluated the feasibility and acceptability of an 8-week adapted mindfulness-based cognitive therapy (MBCT) group for trauma-exposed Black adults who screened positive for posttraumatic stress disorder (PTSD) and depression in an urban primary care clinic setting.MethodsParticipants were randomized to waitlist control (WLC) or MBCT. Feasibility and acceptability were assessed through examination of retention rates, measures of group satisfaction and treatment barriers, and qualitative interview. Forty-two Black adults (85% women) were consented; of those, 34 (81%) completed pre-assessment and randomization.ResultsFeasibility of study design was shown, with >75% (n=26) of randomized participants completing the study through post-assessment. Twenty-four individuals (70.5%) completed through 1-month follow-up. Results showed high levels of group acceptability across quantitative and qualitative measures. Perceived barriers to psychological treatment were high, with an average of >6 barriers present.ConclusionsThe findings indicate feasibility and acceptability of MBCT group interventions in urban primary care settings with trauma-exposed patients with significant psychopathology. However, substantial barriers to treatment engagement were endorsed and to improve numbers for successful engagement in the intervention, continued efforts to reduce treatment barriers and increase access to mindfulness-based interventions in under-resourced communities are needed.